patient_message stringlengths 22 2.5k | doctor_response stringlengths 41 2.5k | dialogue_context stringclasses 1
value |
|---|---|---|
What causes lumps on the neck below the hairline with pain?
Hello, about three years ago when I was under a great deal of stress, two lumps formed on the nape of my neck just below the hairline (one on either side, follow about two inches in from each ear, and drop below the hairline). These lumps tends to grow in size (golfball size) when i touch them/itch them/apply pressure, but remain small and almost unnoticeable without contact. These lumps sometimes leak a clear fluid for no known reason/randomly. When they are swollen, i have to pop them and obtain some puss, but mostly blood. Lately, these lumps hurt, like a constant bee sting. Pain medication does not help. | hi.greetings from HCM.From your history I think it is probably folliculitis with underlying abcess, When you apply pressure it will drain out some fluid and becomes small in size .Other possibility is it can be a sebaceous cyst with superadded infection.You have to consult a surgeon and take antibiotics and supportive treatment | |
Should the vitamin tablets be continued for the seizures and epilepsy?
Hi there! My brother is 8 years old, have had 3 seizure in the past 3 years, about twice a year witnessed by his mother. when he seize he just hold his stomach for less than a minute and then he feels lethargic and weak after that. he is 8 year old, male, his overall condition is normal. He is doing good at school with no other complaints.After exclusion of other causes of his seizure, he has been diagnosed with epilepsy. His last laboratory are normal, EEG is normal, and doctors put him on Depakene "valproic acid" tablets 200mg and Neurobion tablets " vitamin B1, B6, B12".My question is should he take those medication or stop taking them because he is having one seizure a month and his labs is normal? Moreover, some doctors said that he should not take drugs and others stated that he has to keep taking those drugs at least for 2 years in a row. | Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Question : Should the vitamin tablets be continued for the seizures and epilepsy?Answer : In this case, it is better to continue the tablets till he reaches 12 yearsHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care. | |
How is hemifacial spasm treated?
Helo sir, My dad is suffering from hemifacial spasm from past 10 years. After consulting the doctor, the doctor advised Botox injections and gave some pills oXETOL, but we do not want to go for Botox because it is very costly for us and it is not a permanent cure. I have read on net that MVD surgery is a permanent cure and there is a risk of loosing the sense of hearing. I also read of catalyst therapy. which one would you think is beneficial? We are staying Bangalore, is catalyst therapy available in Bangalore? | hi,why don't you try taking up some physical therapy session. it will help regain some relaxation and help the muscle get activated. so try meeting a physio in there. as u said botox isnot a permanent solution. there will be no harm trying physical therapy.thank you | |
Head injury, bad bleed, lightheadedness and dizziness. What is going on?
Hello I have a question,I was in a car accident,and I hurt my head I had a gash on the side of my head and I was bleeding badly the resure ppl put staples on the place on the side of my head where I was bleeding out, so they sended me to wake med,,but they didnt keep me long,but I am still haveing some lite headness and dizziness every day,sometimes 3 times a day,how long does this last.please let me know I am tired of feeling so bad.thanks terry | Hi Terry, Thank you for posting your query. Most likely, you are suffering from post-traumatic vertigo. In this condition, after a head injury, dizziness occurs. It may come in episodes. It is not a serious illness, so, there is no need to worry. These symptoms improve over time and may resolve completely within a few weeks. For symptom relief, you may use betahistine tablets. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist | |
Suggest treatment for persistent cough
2yr son had severe cough. Doctor gave 3 days(day and evening) nebulizer. Then suggested Levolin syrup for 5 days, 2.5 ml, 3 times daily. Cough didn t stop. On the 9th day my son had high fever 103 F and running nose and cough. Took to another doctor...Advised cold water sponging to reduce temperature. Gave 5 days medicine. Syrups: augumentin, levolin, alerid, broncorex, parecetomol. Day 1: temperature shown 102 in morning and reduced to 98 in noon, evening again 102. Gave each time tap water sponging to reduce temp and all the syrup. No improvement.Day 2: same temp. Gave sponging and syrup s. Running nose stopped. Urine was in coffee brown color.Day 3: temp reduced to 101. Gave sponging and syrups. Urine in yellow.Day 4: temp reduced to 99. Maintained same throughout the day. But running nose started again and severe cough. Vomiting in the noon. Urine normal. He is continuously coughing while sleeping. Please advise. | Hi Dear ,Welcome to HCM.Understanding your concern. As per your query you have symptoms of persistent cough despite taking medication which is due to severe upper respiratory tract infection. It seems due to poor immunity of body you are highly susceptible and prone to infections.The infection is probably a strep throat. Need not to worry. I would suggest you to start with course of antibiotics and anti-inflammatory drugs. . For now do warm saline rinses , take rest. Avoid taking cold beverages. You should take mast cell stabilizers to prevent from infection. I would suggest you to consult ENT specialist without any delay . Doctor may order blood test , throat swab test or virus culture test. You should get an x ray of the chest. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with mucolytic agents. Go for complete blood count and platelet count to rule out any hidden systemic pathology. You should avoid hot, sharp and spicy foods. .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari | |
What could be the weird dark rash spot on chest?
Well first I m 17 about 6 1 and 160 but I have 3 weird rash spots on my chest before it wasn t that noticeable but I scratched it and it scabbed up now there are a bunch of little scab in that area like scales I am light skin and it as a bit darker in that area as well. What may this be ? | Hi, The rash could be a folliculitis or miliaria (prickly heat). The dark spot could be due to post inflammatory hyperpigmentation. I would advise you to consult your Dermatologist for management of both the initial rash and the post inflammatory hyperpigmentation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian, Dermatologist | |
High acidity, no pre menstrual cramps and weakness. History of having unprotected sex. Ideal time to take pregnancy test?
Hi, i am 25 and I have always had a 28-30 day cycle. I got my periods on 28th April and had unprotected sex with my husband on 10th and 11th of May, assuming that my ovulation date should have been 6th May and ended maximum by 9th May. However, this month I have not been getting my usual menstrual cramps or weakness in body that I otherwise get from a week to 10 days before my period is due. Also I have been facing high acidity from last 3 days, it was there for the whole day on Friday. Saturday and Sunday it was there only in the morning, and then I feel totally fine later on. Could it be that I am pregnant, when can I take a pregnancy test. But mostly I want to know, how could I have been fertile on 10th May. Or is it something else and not cause of pregnancy ? | Hellowelcome to health care magicThanks for your query.Generally ovulation occurs from the day of 13 to 19 menstrual cycle..That means you may ovulate on 11th onwards..Sperms can live for 5 days in the uterus..So you have chances of getting pregnant from your husband..Acidity is unrelated to this condition..After successful fertilization it takes 12 days for the urine pregnancy test to be positive..Consult gynecologist for further suggestionsThank youDr.siddartha | |
Could mastoid problem be the reason for off balance and slurred speech?
I had a mri which showed fluid in the right mastoid with retained secretions and inflammatory changes. I have had vertigo 2 times in the last 6 months now my speech is slurred and I am off balance, I had a mri in august that showed nothing as far as my mastoid. I also had a spinal tap to rule out ms. It came back negative. Could this mastoid problem be the reason I am off balance and have slurred speech? Also what will they do at my appt. I have scheduled with an ent dr? | no.Ear problems can cause balance problems (like room spinning) because the brain gets a signal from the ear and another (different) signal from what the eyes see. BUT, this does NOT cause discoordination. Neither with how the hands can grab, nor with speech. With any new neurologic problem one would usually get an exam of the nervous system, and a brain imaging study (generally an MRI). There can be other studies to look at the vessels and blood flow to the brain and checking for epilepsy. Probably also other checks (blood tests) for other autoimmune diseases. | |
Cough in morning, tickling throat, headache, ct scan and chest xray was negative. Lungs cancer?
Hi, i have had a cough for months. No coughing at night, mainly in the morning caused by this terrible constant tickle in the throat. Could lung cancer cause a tickle sensation in the throat and a constant need to clear the throat? I recently had sinusitus with a really bad cough and headaches. I had a ct scan on my brain as the headaches went on for weeks but it was all clear. I dont feel like my nose is leaking at the back of my throat, as in post nasal drip thats why im paranoid about lung cancer. Would i have any other symptoms with lung cancer? I had a chest xray about a year ago for another condition but it was all clear. | Hello, Thanks for the query to H.C.M. Forum. Don't be in panic , as last year your lung X ray was within normal limit , so need not to worry. You are so scared about cancer that you are not thinking more than this.Cough with ticking in the throat may be due to ,1 Asthmatic allergic bronchitis as this develops sticky mucus ( due to added infection after allergy) and when it expels from lungs then it stick in throat and you feel such type of tickling . This is not a post nasal discharge but mucus sticky in nature . This is the most common symptom in asthmatic allergic patient. Early in the morning cough ( due to decrease in the temperature ) is an indication of asthmatic allergic bronchitis. 2 Tuberculosis , can be confirmed by X ray ( fresh ) and consult a physician and get his opinion. However early tubercular lesion may be . 3 Cancer least possibility but fresh X ray and MRI will find out the exact nature of disease. As all symptoms resembles like asthma , so consultation with a physician will help. Good luck. Dr. HET | |
Suggest treatment for high blood pressure
I'm 39 checked my blood pressure for the first time in months last night and it was 140/70. I've started eating right lots of fruits, vegetables, lean meat. I've lost 8 lbs in 4 weeks. I'm heavy and smoke (yes I need to stop). Question: When I saw that blood pressure reading I got scared, should I see my doctor immediately or just monitor, and see if it improves and was just a high reading. | Hi ThereI understand your concern and for your kind information I wanna tell you that your Bp is perfectly normal as the recommended normal range of BP for an adult is upto 140/90 mmhg. So just try and maintain healthy lifestyle and quit smoking as early possible. There is no need to see a doctor immediately. You can also monitor your BP once a day at same time for a week.Wish you Good Health | |
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> | |
Suggest remedy for allergy
I have had severe allergic reactions several times that have sent me to the hospital. These have happened over the course of 10 years. They happen only at night after I have been asleep for at least an hour but sometimes after I have slept a few hours. They are becoming more frequent. Any weird allergies that only make you sick at night? It starts with an upset stomach and then moves to either my insides becoming hot or my hands and feet itching. Sometimes I can take a benedryl and be fine but sometimes I go into anaphalactic reactions. I had an epipen for six years and never had to use it and know have had to use it twice in 3 weeks. | Hello My Friend!!you need to get an allergist opion and advice on yuor exposure to allergies .he will order for an Sr.IgE. AEC,& PROCEED FOR (AST)ALLERGEN SKIN TESTING.you at the earliest undergo AST.in General IT IS SEEN THAT A PERSON WHO HAS THIS ANAPHYLAXISIS IS LIKELY TO GET MORE NO OF ATTACKS SO BE WATCHFUL AND SPEED UP YOUR ALLERGY ORIENTED TREATMENT.epipen surely saves but using that frequently is not a good answer to your current problem so seek and advice from allergist to get advice from how to lead an allergy free & epipen free like. | |
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> | |
How can cervix cancer, vomiting, weakness and scattered lung rales be treated?
hi dr,as i my mother who was 52 year old..was suffer from cervix cancer. she has no other problem before..just she was affected with this nw she was suffering from vomiting,weakness,nausea and decrease in mental alterness she has an scattered rales on the lungs bases.bt she have clear cough and blood pressure increase in supine | Hi,Thanks for writing in.It is important to know at what stage cancer cervix was detected in your mother and what treatment she is taking for it. Cancer cervix is a disease that occurs due to uncontrolled proliferation of cells in the cervix of uterus. It is important to know if she has early stage cancer or a later stage. Treatment differs as surgery is best for complete treatment at early stages and chemotherapy and radiation therapy can prolong survival in those with late stage disease.Vomiting and weakness can be treated with maintaining a proper diet and also correcting any deficiencies like anemia. During treatment, patients are known to have anemia and reactions to medicines. This needs to be carefully evaluated and if required regular anti vomiting medicines need to be taken. Please take measures to improve her diet and give her small frequent meals of her choice.Scattered rales in lungs need to be evaluated by doing a chest X ray. If the lungs are clear then no treatment required for it. Please do not worry. | |
What causes sharp pain on blister scar on the back of heel?
About five years ago I got a bad blister on the back of my heal/foot. It scarred and was fine until about 4 months ago when I hit my foot on something rather hard. The scar bruised and was very painful, but it subsided after only a few days. Since then, on 3 different occasions, I have very lightly tapped my heal on something and the area instantly bruises and the tap feels like a very sharp pain. I had it xrayed and I m told it was clear. Any thoughts? | HiThanks for posting on HCMScars are common after a wound or blister on any part of the body including heel/foot.Scarring is a normal tissue healing process.Scar tissues like other tissues are innervated.Scar pain after an injury is due to injury or damage to the nerves that innervate the scar.The treatment of scar tissue pain after a small injury may not need medications if the pain not too severe.I will suggest you avoid tight shoes, use protecting pads and socks, make the scar always moist when at home.Local pain medications like diclofenac gel may also help you feel better if the pain is severe.Hope my answer will help youBest regards | |
Painful area on spine, tender to touch. No limb weakness. No known injury
Dear Doctor, I have a spot on my spine ( Thoracic area) that is painful when bending forward or hunching over. The spot where the pain radiates from also is painful and tender to the touch. The pain is not debilating, just very aggregating. I have no weakness in arms or legs. The pain has been around about a month now. I ve had no injury to that area that I know of. The pain hasn t gotten worst, but hasn t gone away. I m 33, male no history of health problems. | This type of problem appears in a person who is using Mattress since long time and the place where u r lying definitely there will be a sagging of matress so first u have to change ur matress and use Firm bed then follow Physiotherapy advices like UST, Maitland mobilization some extension exercises & Ergonomic advices if u r habitual to work in a slouch posture, be attentive for ur posture. | |
What causes tightness and heaviness in the chest?
I chocked on water this morning and on moutain dew this afternoon, both times I coughed a lot and had a hard time catching my breath. Tonight my chest feels tightand heavy I am also having some pains when I inhale deeply. I was wondering if this is something that will subside or should I seek medical treatment. I have a history of dysphagia due to thyroid cancer could this be the reasoning behind me chocking? | Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should definitely consult doctor for your symptoms. Possibility of bronchitis related symptoms is more likely in your case. Bronchitis is inflammation of airways and it is common after choking. It can cause coughing and breathlessness. So better to consult pulmonologist and get done clinical examination of respiratory system. You may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
Taking depo shots to prevent pregnancy during chemotherapy. Sore nipples, pressure in the pelvis and cramps. Pregnant?
I have been told that I can t have children due to chemo treatments. Took depo during chemo to help prevent becoming sterile. Have not had a period for almost 2 yrs. For the past 2 1/2 weeks I have has sore nipples , clear (no smell) discharge, pressure in pelvic area, tired, slight cramps in pelvic/back. Everytime I google my symptoms I get caught in pregnancy posts. How would that be possible? | Hi, You have not mentioned the time of last chemo. You can have children after chemo. What was chemo given to you should also be mentioned because some chemo can cause temporary sterility. This can be evaluated by serum FSH, LH testing. Anyway if you are pregnant or not can be tested by simple urine test. Consult your gynaecologist | |
Suggest treatment for colorectal cancer
Hi. I am 36, female and am worried I may have colorectal cancer.Reasons.History of it in my family and I have been having bloating in abdomen for a few years now and a steadily increasing foulness in the smell from my flatulence.My stool smells pungent also.I have belly pains and cramping and a generalized full feeling and excessive gas in my lower and middle belly areas.I get fatigued easily and have seen blood in my stool on more than one occasion.Have history of GI bleed and have burning in stomach constantly. | Hi,Thanks for writing in.Your foul smelling stools might be due to change in bacterial colonization in the large bowel. Cancer symptoms of bowel includes sudden change in bowel habits like constipation or diarrhea. Some people also experience bleeding in stools. Unexplained loss of weight can also be seen in bowel cancer.Since you have found blood in stools more than once then you should get a detailed cancer screening examination done. I suggest you get your stools tested for occult blood till the time you have to wait to see your surgeon. If there is occult blood in stools and as you have strong family history therefore you should get a colonoscopy done. It will locate any abnormal areas of polyps which are precursors to colon cancer. Please do not worry. | |
What could cause constant back pain?
Hello sir!I am a 31 year old female..I recently got my blood test done..and it is found that my SGPT level is 47 and my GGT is 161 and my Alp is 283..I have constant pain in my back for the past four months..kindly let me know what medications and diet to be taken to control these levels... | Hello mam, I have studied your case and I can advise you few things. First your test report suggest that you may have obstruction of bile duct. Alp elevation proves that thing. You have not mentioned what is your bilirubin level. Also for food advice avoid fatty diets, oil, dry fruits. You can take antispasmodic medications like dicyclomine, cyclopam. | |
Suggest remedy for hair loss
Hello Doctor,I am Amit from Bangalore, I have hair loss problem and started became bald from front. How do i cure it ? How do I regrow my hair ? I heard of Tara Homeo Clinic, any idea about them ? Also the product like Livon Hair Gain or Mintop which one can help me ? | Hello Amit,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc.From your description, it seems you might be having Male pattern hair loss or Androgenteic alopecia, which is due to male hormone, testosterone. If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc, and recommend some basic investigations like CBC,blood sugar, Thyroid function test.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). Finateride (Fenalo) can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the drug.I would advise you use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda | |
What is the treatment for stomach pain in a child?
My 7 year old son has not eaten much today....complaining of stomach pain. About 5 hours ago started throwing up. He now will fall asleep but wakes up frequently saying his stomach hurts and ends up rolling on the floor trying to get comfortable. I ask him where it hurts and he will say all over his stomach....he will use his hand and circle the area around his belly button and says it hurts all over. He wont keep water down either and does not feel warm like he has a fever. I just don t know if I should take him to the er or even what to do for him. | Hi,It seems that your child might be having intestinal colic giving this type of pain.mostly it might be due to indigestion or taken some junk food.Give him antispasmodic medicine like Meftal spas or Cyclopam or Colicaid.give him light diet.give him plenty of water.Ok and take care. | |
Suggest remedy for itchy bumps on thigh & arm
Hi my son is ten and has developed an itchy bumps on his inner thighs and are spreading to arms and chest ,, Trying kalamine lotion but says it helps for a bit then they get itchy shortly after putting it on. I thought it was allergies to something out side Should I wait a few days then if not better take him to a doctor | Hello.Thank you for asking at HCM.From your history I get impression your son is having what we call "urticaria". They can be due to allergy or infection.I would suggest your son to take antihistamines like levocetirizine or cetirizine for 3-5 days. If they do not improve or they worsen, I would suggest you to consult a pediatrician.If your son has excessive sweating, I would suggest him to avoid activities which produce sweating for a few days. I would also suggest to avoid woolen clothes and tight clothing (if he is wearing) and it will be best if he can wear loose, cotton clothes.I hope this will help your son.Wish your son quick recovery and best of the health.Regards. | |
How to treat a swollen tongue and lip after an allergic reaction to shrimp?
I was in the ER for an allergic reaction to shrimp. They released me with Prednisone & Benadryl get rid of the swelling in my tongue. It s 4 days later & my tongue is still swollen and now my lips are too. I don t think I should take the Prednisone. | HiWelcome in H.C.M.In reference to your query regarding allergic swelling of your tongue and lips, which is still persisting even after taking steroid (prednisone) and benadryl. Though you got relief but still swelling on tongue is there.As you said only 4 days have passed so I think you may continue the treatment for three to four days with tapering dose of prednisone.At the same time you should avoid contact with shrimp.Thanks for consulting H.C.M. | |
Suggest treatment for cough and congestion
Prominent bronchovascular markings r seen in both lungs, predominantly in both lower zones . Otherwise eveything in xray is normal. My husband is having fever and asthmatic cough and congestion and pain in chest while coughing. Xray was done yesterday. He is taking augmentin 625, bricarex A and duolin inhaler and recofast plus.now the fever is less but cough and pain and wheezing is still same.mucus is not coming out. Thanks. | Thanks for your question on HCM. In my opinion he is having bronchitis. As symptoms like fever, cough, , congestion , chest pain on breathing etc are seen in bronchitis. His treatment is proper. And fever is also gone which suggest treatment is working. I advice these steps for decrease congestion and easy removal of secretion. 1. Avoid smoking, if he is smoker. 2. Drink plenty of fluids. 3. Start chest physiotherapy and deep breathing exercise. 34 You can also start n acetyl cystine (NAC). It is mucolytic, anti inflammatory and expectorant. So it will thin down the secretions and make it easy for expectation. | |
How is knee pain radiating towards the hip treated?
Last night i went to bed and I had pain from my left knee all the way up to my hip on the outside left leg. A deep pain. I couldnot walk or lay down since I hurt so bad. I was almost in tears. I finally found some pain salve and applied liberally and it eased up after about 10-15 min. I woke up again about 1 a.m. starting to hurt pretty bad and put more medication on the leg. Today, I have had some pain, but have also had some pain in th left groin area and it seems like the pain is situated also somewhere around the area of y kidney. What should I do? | Hello, I have studied your case. Due to compression of nerve root there can be pain in your hip to knee.I will advise you to do MRI spine and if required MRI hip.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
What is the cause for shoulder blade pain who is 14 years?
My son is almost 14 years old. He keeps complaining he has pain between his shoulder blades. He had been carrying his backpack to school and to me it was too heavy. We did took some of the weigh off his backpack and it worked for a few days, but now he is complaining again. Is there anything we can do? Should we take him to the doctors? | Hi From your history I feel it might be purely related to his physical strain as the spinal muscles might be undergoing strain.If he is otherwise asymptomatic you need not worry. But if it's disturbing his school or daily activities you can give him a pain killer for a short course after consulting your physician once Dr.V.S.Srividhya Chennai | |
What is the expectancy of patient with liver tumor of 9.3cm.
Hi my sister diagnosed with liver tumor size of 9.3cm & also the cancer already on her pancreas according to doctor she's not curable have jaundice, white around her eyes, lost a lot of weight, now her voice is too low, how long does she have to live???? I want her to have quality life.... | Hi welcome to health care magic....Noted she has liver tumour of very big size and seems to be malignant hepatocellular carcinoma...You have not mentioned type of malignancy whether it is HCC or cholangiocarcinoma ??Anyway tumour has spread to adjacent pancreas and seems to be metastasize...So here prognosis is very poor if tumor widespread spread...PET scan or CT scan useful for detection of extent of metastasis....Consult good oncosurgeon for starting chemotherapy and necessary investigation.The doctor will do above investigation and according to TNM staging your treatment will be guided.Meanwhile take low fat diet.Fruits more....Green leafy veg more...Take care .... | |
Is external feeding through pipe insertion in the waist region effective in a one with 3-4 stage of stomach cancer ?
my mother is having stomach cancer of 3-4 stageand is not able to even take liquid diet through mouth.doctor has advised putting pipe in the waist region for external feeding.will it help | yes definitely this feeding Jejunostomy is helpful as in stomach cancer mainly dies because of electrolyte/acid base imbalance as food and water intake is gonna to reduce due to obstructive effect of stomach growth provokes repeated attack of vomiting,. this provides adequate fluid and food intake, | |
Should I wait for next month to check with the HCG blood test again as I am having the history of testicular cancer and cell carcinoma?
I am a 46 year old male I have had testicular cancer twice-1990-enbryonal cell carcinoma and 1997 seminoma type , most recently I have had three HCG blood test. 1st was 6.9, 2nd was 3.9 and the third was 4.9, my insurance will not pay for a pet scan, a current CT scan was questionable on my part. My doctor wants to wait another month and a half to repeat blood work. What should I do? | HIThank for asking to HCMI really understand your concern, look the important is your clinical symptoms if you do not have any clinical symptoms then its okay HCg is hormone test which highly fluctuating and very uncertain it is no the sole criteria, so I would like to advise you to have word with your oncologist for any other test rather than this, have nice day. | |
Where can I get a best psychiatric treatment in India?
"I am suffering from a psychiatric illness. Over the last 10 years, I have tried several psychiatrists (at least 8 to 10) in and around Kolkata and even Mumbai. I have been highly disappointed by all the doctors I have been to so far.They are either money-grabbing touts or just incompetent doctors who have not been able to treat me. Some of them came highly recommended. I am not happy with any of them.Please, based on nothing else but your own experiences, tell me who is the best psychiatrist to go to.I am currently settled in Kolkata, but I do not mind traveling anywhere in India for treatment." | Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Every doctor has a specific way of treating, and everyone is benefiting someone. There are around 3500 psychiatrists in India and its very difficult to identify the best. Infact more than the best, its the one who is sincere in his efforts, that will matter more. You may visit me at Indore, Madhya Pradesh, and I can assure you to be sincere in my efforts. The other option is visiting national institute of mental health and neurosciences in Bangalore. Its a government hospital, supposed to be a very good one. But be prepared to stand in the lines. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy | |
Stiff neck, headache, pain in vertebra, nausea, dizziness. Raised WBC count. Have type 2 diabetes
My husband had stiff neck , pain on top of head, pain on the top vertebra area, nausea if he moves (throws up), dizziness . Is fine in the day - symptoms worse at night. It started some weeks ago with waking up with severe headache . Both doctors suggested sinus-related problems (he does suffer from infected sinus at times). Was given Litares, recovered, then symptoms reoccurred, given Litares again, and got better. However, night before last ended up in hospital. Blood tests showed negative, except white blood count raised, indicating infection. Was fine yesterday, but 4am this morning threw up again. We have dogs that sleep indoors, and he thinks it might be allergy . But so severe? (he is also type 2 diabetic, but under control. | SINUSES ALLERGYWHEN THERE IS INFECTION TLC INCREASE AND CAUSING HEADACHE AND OTHER THINGSMETROGYLCLEAR FAST SINUSESTAKE METROGYL 200 MG ND FOR 3 WKADD ANTI ALLERGIC ALEGRA 120 MG BD FLUNARAZINE 5 MG NIGHTAPPLY NEOMYCIN Y OINYMENT IN NOSE BDSEA WATER 2 DROPS AT NIGHT EACH NOSE ADD GLUSIL TDSDICLO AS PAINKILLER SOSNO USE OF PCM BRUFEN CALCIUM IRON VITAMINS MULTIVITAMINS AND DIET SUPPLIMENTSLOT OF WARM WATERCONTINUE 4 WKCAN GET NEW XRAY PNS OF SINUSES AND GET CONSULTATION FROM ALLERGY COCTOR TO TREAT AS IT TAKES 3 MONTHS TO CLEAR ALLERGIC SINUSES COMP;ETELY AS SURGRT IS ALSO FAILURE IN ALLERGIC SINUSITIA | |
How long does perimembranous VSD take to heal in infants?
Hi Doc, My son (1 mth old) has just be diagnosed with a small to moderate perimembranous VSD .However he is showing no sign of the symptom ie we growth by 6cm and 800g in a month . . What is the chances of self healing and normally how long it take to closed ? | Hi Read ur question Perimembraneous VSD small or moderate size is heal spontaneously in 90 to 95%cases and It may be take 1 to 2 yr to heal completely. Ur baby growth was good in one month Is ur baby not gaining weight and he is contenously fell ill or hand and sole are become.e blues then consult ur paediatrician and also paediatric cardiologist asap. | |
Suggest treatment for tumour formed on nerve
hi, this is glinda from mumbai and my brother has just been operated on because a tumor sort of had been formed on his nerve. The doctor whom we consulted said that we also need to consult some specialist for genetic disorders... can u please guide me for the same... | Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear You seem to suffer from Neurfibroma / or a dercums lipoma,which is a familial disease,which could form lump on the nerve in both of you brother and sister.Treatment would be -By excision for the cosmetic and pressure complaints from any of these tumors.These being benign tumors,Biopsy with histopath study would resolve this issue.USG would fix the cystic or benign nature of these tumor.Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant | |
Suggest a remedy for lump
hi,i was circumsised 30 years ago when i was 19 years of age with no problems ......recently however i have noticed a hard lump appear around the stitching and it is tender to the touch ..could you tell me if its a abcess of some kind and what can i take in medicine for it to go away .....ty | Hi and welcome to HCM. I wouldnt say it is abscessa if this occued 30 years ago. It is more likely fibroma or some other benign lesion and it can be removed surgically or by dermatolog procedures. WIsh you good health. Regards | |
Getting nervous and shaky during presentation in front of people. Need help
Whenever I get too nervous I start to get shaky, physically as well as my voice, and my eyes start to tear up. This happens mostly when I m presenting a power point or even receiving criticism sometimes, and it s getting rather annoying, let alone embarrassing, because I ve had to do it much more often lately, and will have to continue for awhile. I think I cry way too easily, is there any way to control these (the tearing mainly) and avoid unnecessary embarrassment? Help! | Hello Thanks for your query. You appear to suffer from social anxiety disorder which is a common enough problem. I would suggest you contact your psychiatrist for evaluation of anxiety spectrum disorders. Drugs like propranolol as well as anti anxiety agents are useful. Yoga and meditation along with breathing relaxation exercises are useful. Wish you soeedy recovery. Regards Dr Sundar Psychiatrist | |
What causes sharp pain in lower right abdomen?
The two mornings, i haven woken up at four o'clock in the morning and cannot move. My lower right abdomen feels like it is being squeezed. It hurts more when I lean forward to sit or get up. And hurts even more when i get up from lying down. Three nights ago, I had a slight fever and believed i was catching something, but have not gotten sick. The fever went away, but i still feel nauseous. The pain occurs about an inch to an inch and a half from my hip on my right side. It feels slightly bloated, but hurts if i press on it. | Hi welcome to HCMYour symptoms are suggestive of ureteric colic.A stone or an infection in urinary tract causes thisTake plenty of water and get a urine routine microscopy and an ultrasound abdomen with pelvis done Thank you | |
Having abdominal pain, loose motion, lower back pain and weakness. Treated for acute appendicitis. Looking for permanent cure
Hello Dr, often i suffers from abdominal pain on right side and Loose motion..if i take tabs it will be bit ok but again in few days.. it happens the same..and also lower back pain and weakness..i had this problem 3 years back(only abdominal pain).when i consulted doctor they said it was accute appendicities suggested tabs..i was feeling good upto here but from last 2 months i m facing the above mentioned problems..please help me with your valuable suggestions | hi you should go for stool examination to rule out amoebic colotis and ultrasonography of abdomen Even if nothing is detected then u should go for colonoscopy. probable diagnosis might be colitis, recurrent appendicitis or abdominal tuberculosis | |
What is the treatment for the bruising and swelling of the knee?
I had total knee replacement on 12/11/14. I fell off a tandem bike onto to concrete 5/22/2014. Went back to surgeon, they took xrays (saw the PA only) said everything replacement wise was ok, badly bruised & swollen still, PA tried to aspirate swollen bursa last Friday with no success. I want to see a doctor (my surgeon is out sick) PA messaged me back after asking a MD in the office & they want to try antibiotics. Should I push coming in & skip the antibiotics? The PA said the MD said they would have to operate to remove it. It is very painful | Hi thereI understand you have a post traumatic bursitis. over your knee.One thing you must avoid at all cost is introducing an infection into your knee joint which will infect your replacement prosthesis. An infected knee replacement is very difficult and costly to treat requiring many admissions to hospital. One thing that can cause such an infection is multiple aspirations of your bursitis. Please avoid this. If the pain is so bad that you can't wait for your Orthopeadic surgeon to come back then it is probably infected and I would then suggest that you see another orthopaedic surgeon as soon as possible. If you are coping on pain medications and can wait for you surgeon that is also good. | |
What causes pain in lower left side of stomach?
i have a pain in my lower left side of stomach from time to time. Thought it was hernia but ct scan did not show anything. every so often I will have a protrusion come out of my side (thus hernia thinking). Multiple Dr s have all stated they could only verify when this is actually happening and it doesn t last that long thankfully but it is extremely painful. Another Dr stated it could be a floating rib that is protruding out. i would like to start exercising but when i do i am always afraid this thing is going to pop back out. First time it happened was over 20 yrs ago and i was slimmer back then so i actually could see the protrusion. it was about the size of a golf ball. Now i have more wait so i can only feel it for the most part. i would like to know what exactly this is and how i can prevent it from occurring any more. | Hi.Thanks for your query and an elucidate history.You have two different problems. 1. You have a definite hernia and if the opening is large, it will not cause any pain. Consult a General Surgeon and get it operated for ever. 2. The sharp pain in the right lower abdomen can be due to the following reasons:Coitis, Salpingitis, Left ovarian cyst with twisting;PID / IBS/ Sigmoid volvulus and so on. The only sure way is to get a proper clinical diagnosis by a physical examination conducted by a General Surgeon or a Gastroenterologist.Get investigated:CT scan you have already taken.Blood, urine and stool tests.Diagnostic Laparoscopy if required, this can be therapeutic. If ll the investigations are normal, think about IBS- Irritable Bowel Syndrome and get treated accordingly.Remember that stress if the most important reasons for IBS. | |
Suggest treatment for asthma and COPD
Hello I am Julie YYYY@YYYY I am Julie Anna Sparks was born June 4, 1981 in Prestonsburg Kentucky and well now I am currently living in West Liberty Kentucky and I have Asthma and a form of COPD but never smoked, but have been around a great deal of second hand smoke. But here is my problem I cough but when I cough I bring up worm like stuff really thick but not big hunks just small worm like junk. Some yellow, some white, but on some times it has a hint of blood. I don t travel I know it isn t Ebola, and I haven t been around others in that area I know that but what the heck is this goop? | Thanks for your question on Health Care Magic. I can understand your concern. You are having thick mucus plugs. And this is sign of uncontrolled asthma and COPD (chronic obstructive Pulmonary disease). Treatment for these is 1. Inhaled bronchodilators and inhaled corticosteroid (ICS). 2. Oral mucolytic, expectorant and antioxidants to clear this thick mucus plugs. 3. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. These will also improve plugs and lung function. 4. Vaccinate yourself with adult Pulmonary vaccines like pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist, discuss all these and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. | |
What does this MRI report of brain indicate?
Had a MRI of brain and this is what came back: No mass effect or midline shift. No intracranial hemorrhage or extraaxial fluid collections. The ventricles and sulci are symmetric and normal size for patients age. Post contrast images demonstrate no abnormal intraparenchymal or extraaxial enhancement. Diffusion of weighted images demonstrate no areas of restricted diffusion. The visualized mastoid air cells, paranasal sinuses and orbits are normal.My concern is these statements, what does this mean? Normal MRI of brain with and without contrast except for a few tiny punctate areas of subcortical white matter signal abnormality in the high frontal lobes. T2/FLAIR white matter signal hyperintensitites in the the high frontal lobes. These are very nonspecific in appearance.I am 31 years old. 5 1 and 165 lbs. I have history of headaches, tension types and occipital neuralgia. Also have some symptoms of migraines, but not full on migraines. | Hello,I will break down the report for you:No mass effect or midline shift: there is nothing pushing on one side of the brain to make it move to the opposite sideNo intracranial hemorrhage or extra-axial fluid collections: There is no bleeding, no old blood or areas where the blood was absorbed and fluid was left behind.The ventricles and sulci are symmetric and normal size for patients age: The ventricles are normal fluid filled spaces inside the brain, they enlarge slightly with age and can be enlarged also in conditions like hydrocephalus "water on the brain". You're are normal in sizePost contrast images demonstrate no abnormal intraparenchymal or extra-axial enhancement: When they gave you dye, no areas became bright. Areas that typically are bright are things such as tumors, infection, inflammation and bleeding. You have none of these. It is a normal result.Diffusion of weighted images demonstrate no areas of restricted diffusion: There is no abnormal movement of water molecules, which is seen in stroke, infection and in some tumors. You do not have any of these and the result is normal.The visualized mastoid air cells, paranasal sinuses and orbits are normal: Your sinuses are clear and don't show any sign of infection. A few tiny punctate areas of subcortical white matter signal abnormality in the high frontal lobes. T2/FLAIR white matter signal hyperintensitites in the the high frontal lobes. These are very nonspecific in appearance:This statement refers to a specific type a signal seen on two different types of pictures seen on MRI: T2 and FLAIR. There are multiple different reasons for these, and almost everyone will have a few. Factors such as high blood pressure, diabetes, smoking, vascular disease and multiple sclerosis can cause such spots, though the ones in multiple sclerosis have a particular look to them and per the radiologist report he/she did not suspect that. We think that the spots are formed when tiny blood vessels become diseases from high blood pressure,diabetes and high cholesterol. HOWEVER, people with migraines are known to develop them as well, and we don't know exactly what they mean. Because of that we literally called them "UBOs" - unidentified bright objects. You have very few, they are as the radiologist said "nonspecific" meaning they are not pointing to a particular disease process. So a few rare spots in a person with migraines is to be expected and is of no consequence. Even if not caused by migraines, they are very f | |
Q. My son has diarrhea after having certain types of meals. Why?
Hello doctor, Hope you are doing fine. May I come back to you with the following query? It relates to my son who consulted with a medical doctor in our place over here with a diarrheal syndrome. He suffers from diarrhea after having certain types of meals, as also when he drinks a glass of wine or beer. Attached to this message, you will find his recent lab test results. His liver values seem to be disturbed. My question is what is the analysis and diagnosis on the grounds of these results? What to do next? Many thanks to you for sharing your valued medical expertise and advice. Best wishes to you. | Hello. I read your query and can understand you are worried about your son's health. Hope it helps. If you need further assistance, please feel free to ask me. I will be happy to assist. For further information consult a cardiologist online --> | |
White spots. Episode of eczema. Using Tenovate. Does it spread?
Hi, we took a winter holiday a month back and while we were there, i developed something that was like an itchy small patch of eczema on my arm I used to feel very itchy specially after wearing my woolen sweater. in another few days it spread on to both my arms. after a week, the itchiness and the eczema went away leaving small white spots all over my arms. It looks very ugly and I am scared it might spread on to my entire body as it has spread a lot on both my arms. I am currently using tenovate ointment once every night from last 1 week but it's not showing any improvement. Please suggest what I should do. Thanks! Sim | Hi,Thanks for writing in to us.Tenovate ointment is a steroid and might not show improvement in all lesions. You must consult a dermatologist immediately and get an opinion on the skin patches. It needs to be confirmed if the causative reason is an allergy deficiency or infection. This can only be obvious once the patches are seen by a doctor. You may use sunscreen lotion on the exposed parts of your body when going out in the sun.Hope this helps | |
Have tonic clonic seizures. MRI shows maxillary sinus polyp. What does this mean?
Hi, am priya, age 26, diagnosed with tonic clonic seizures 8 years back. I was seizure free for the past 4 years but again had an attack last week. My regular neurologist suggested that i sleep well and resume my sodium valproate for another 2 months. I took another opinion from a differnt neurologist who asked for a plain MRI of the brain. The report says the MRI study of the brain is normal, small right maxillary sinus polyp . What does this mean.? Please give ur opinion | Hi Priya, Thank you for posting your query. Your problem is epilepsy, and it requires medications for a long time, as it is a chronic problem. Sodium valproate is a good drug, however, it should not be used in pregnancy, as it can cause malformations in the baby. Regarding the MRI finding, it is normal brain. Maxillary polyp refers to a minor problem in the sinus (located on the side of nose). An ENT doctor would help in treatment of the same, if it is causing symptoms, such as nasal obstruction, cold, etc. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Apollo Hospitals, Jubilee Hills, Hyderabad drsudhirkumar@yahoo.com | |
Pancreatic cancer stage four, spread to liver. On chemotherapy. Blood test confirms non-communicable TB. Possible for two diseases to co-exist?
My brothers wife has been detected with Pancreatic Cancer Stage IV which has metasized to liver . She has undergone 2 chemo rounds but developed fever over the last 7 days. A blood test confirmed that she has non-communicable TB also. Is it possible for the two diseases to co-exist or is it a case of incorrect diagnosis. | Hi It is possible to tuberculosis to coexist with any cancer, especially in India. However, TB should not be diagnosed on blood tests. Chest Xray, Mantoux test, FNAC or sputum are usually used to diagnose TB. Fever post chemo is more likely to be due to other bacterial infections than TB. | |
Getting old ulcer pains. Advised test for colonic cancer. Any painless way of testing?
just had flu and lost a stone in 7 days(from13stone 10 lbs to12stone 10lbs) now getting old ulcer pains but doctor now wants me to have tests for cancers-colonic and down the throat camera procedures.are there no other less painfull ways of checking for cancers like blood tests.why not try to assess if old duodeanal ulcer has flared up.i shouldv say here i was off my food whilst i had the flu virus.i am now eating normally but dull ache of familiar ulcer pains still persist | Hi, ulcer may be gastric or duodenal. nonspecific abdominal symptoms should always be dealt carefully. what your doctor has suggested is the right decision in my opinion. some blood tests like CEA can give a clue but not diagnostic. do not worry upper G-I endoscopy , colonoscopy are painless. proper local anesthesia is required. consult you doctor. | |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> | |
Took Femodene for heavy periods with cramps. Pain due to coil insertion. Can I take mini pills?
Just seen my Dr and I am very stressed. I have been on Femodene contraceptive pill since I was sixteen because of my periods were a nightmare, Femodene was a godsend. My periods used to be quite heavy and made me ill and depressed for days on end, also I used to get bad mood swings causing me to shout at everyone. I once booked a party (my own) but couldn’t go in the end because my periods ruined it all and made me very ill. I used to get bad headaches that made me throw up, and severe stomach cramps that I could hardly walk. I had my son eight years ago and tried to stay off the pill to see if that would make a difference. I had been told it wasn’t so bad after having children. There was no difference at all, in fact it went back to what it was, I couldn’t even track it on a calendar as it is so unpredictable and irregular. So I went back onto Femodene again and things got better for a while. Now my Dr wants me to come off and go onto something else because of my age, I’m 39. I would like to go on the mini pill as I have checked all my options. She is abdement that I must have a coil inserted. I don’t want this, but she is insistent I must have it. Apparently it’s inserted for five years like having a smear. I am scared to death as I hate smears, the last one I had hurt me very much and was a real ordeal. I want to go on the mini pill but I feel I am not being listened to. I said I would try this before I considered the coil. There are two types of mini and I am worried that if one doesn’t suite me, then she will force me to have the coil, and this is something I am desperate to avoid. Can you advise me on what I should do please? I am scared sick and don’t want to return to the hell of being ill and all over the place. | HelloThanks for writing to us with your health concern.The OC pill has numerous benefits apart from contraception.It regulates menstrual patterns.It reduces heavy menstrual bleeding.ALso, due to regulation of the hormonal milieu, it leads to remission of your hormone related mood changes.It benefits headaches and cramps also.At 39, there is no reason for you not to take the pill if that is what suits you.Contraceptive choice is highly individualized, one HAS to go by the cafeteria approach.NO doctor can dictate what you should have, unless there are medical emergencies to take care of.Another issue, a smear is not at all painful.Wonder why you are so paranoid about them.Please take the mini pill if that suits you.Ask her to run through the medical eligibility checklist and if all is well, the pill is an excellent choice anyday, and there is no reason to recommend the coil over it.All the bestPlease feel free to discuss further. | |
Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given?
Hi doctor, My son is 2.5 years old. For a week, he is complaining of stomach pain. After farting he is fine. Our family doctor recommended one antibiotic for five days and a medicine to avoid vomiting. He had small vomits twice, but later it was fine. Now, after completing the course of medicine he again complaints the same. His diet is almost nothing and he is not ready to take any food. He just has few mL of milk. He does not have fever. His stool was watery, but it is normal now. Can you provide any recommendation on diet and medicine? Please give me a solution to the problem. Thank you. | Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. | |
Does semen culture test detect HIV infection?
Dear sir, last month 22nd( 22 sep 14 i had a sex with one girl that time,the condom has broken, after till month i didnt do any thing, even i didn t feel any HIV symptoms,now iam going to semen culture test,in this test shows any affection of HIV,or not? | Hello I am Dr Aamir and I will be answering your queryYou should Elisa and pcr test for HIV .dementia culture will not tell you about HIV.Also symptoms of HIV does not come so early so the only way to diagnose is to do these tests mentioned you.I hope I have answered your query.Take care | |
What causes pain in the arm?
57 yrs old, pain in the left palm, sore to the touch, not any injury known to cause it, and it is left center about one inch from the curve between the thumb and the forefinger. Was super sore for four days but it will not go away and there is no discoloration or bruising of any kind. | Hello, It could be fasciitis. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician | |
How to get rid off fibromyalgia?
Im looking for a non narcotic pain medicine. I have been diagnose with fibromyalgia, I have low back pain as well. My Dr. wants to put me on Lyrica, but I don t want to go on it because of the side effects. I am taking 800 mg. of Gabapitin, I have an appointment on Wed and was wanting to know what I could ask her for. I have pain all over, it is making it hard to walk and work. I am not over weight and I am trying to eliminate the foods that cause inflammation. | HiThis is an agonizing disease, but now good remedial measures are possible..if you are attending Fibromyalgia clinics, then trust your doctor for the prescriptions, if you tolerate gabapentin, there's no need to fear side effects of Lyrical unless you had taken previously and suffered its side effects...some patients report even side effects to gabapentin too, so its not necessary you would too..likewise for lyrical...some rheumatologist prescribe methycobalamin and amytryptalline too alongwith gabapentin or lyrical..meanwhile do take physical therapy if not taking, it would relieve symptomatically, see a physical therapist too.Best wishes | |
Noticed hoarseness when sneezed hard, have sharp pain when swallowing, voice feels weak
Hi I sneezed hard four days ago, immediately noticed hoarseness in voice and now I have a sharp pain when I swallow. My voice is feeling weak, I sing and I have distinct lack of voice. Lozenges help temporarily but the pain and sensation comes back. The Doctor seems to think it's early stages of a cold, but it happened instantly after sneezing violently. | Hi,You seem to be having bout of URTI (Upper respiratory tract Infection). You may take a course of antibiotic , decongestants along with regular warm saline gargles in consultation with your doctor.RegardsDr. Mishra | |
How can respiratory tract infection with mouth and lip blisters be treated?
my son is 22 months old was taking antibiotics last week for upper respiratery tract infection. now for 36 hours has been haaving high fever of 40.1 oC and this morning i noticed white blisters inside his mouth and oin his upper lip. i tried to brush his teeth but his gums were bleeding heavily | Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns...As per your complain it seems that your son is who is 22 months old is suffering from HERPATIC GINGIVOSTOMATITIS which is a viral infection and can lead to fever, swollen gums and bleeding and inflamed gums..The initial treatment is directed towards reducing fever and decreasing the discomfort caused due to inflammation in mouth..You should feed your son with a soft ,cold and bland diet, a low spice vegetable soup, flavoured gelatin, bread socked in milk etc can be given..Avoid citrus juices like orange juice and can give him fresh apple juice..For fever you can give him Tylenol or Acetaminophen ..Application of a numbing gel like Lignocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly..Sucking ice pops or a frozen apple juice popscicle can help in reducing inflammation and discomfort...Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums..In case if there is an outbreak of sores or blisters antiviral medicines like Acyclovir can be advised by a Paediatrician to reduce the duration of the disease and prevent further outbreaks..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.. | |
Suggest medication for diarrhea, nausea and abdominal pain
Hi, I spoke to a nurse advisor earlier today. I told her that I may have food poisening. Ive had diarrhea, nausea, vomit and abdominal pain (cramping) for the last two days. She said to come in if I get fever or diarrhea last more than 7 days. My diarrhea is now black. Should I be worried? | Hi. The stool getting ''black'' is an ominous sign. This indicates you are bleeding somewhere in the intestines which causes the stool black.I would advise to visit ER and get admitted immediately. You need IV fluids and antibiotics. You can not wait till fever. Many gastrointestinal infections may become severe in spite of no fever ( ram negative infections). | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Have hydroureteronephrosis. Can drinking plenty of water will help resolve the problem?
Hi doctor,I am 23 years old female,I have hydroureteronephrosis.Can drinking plenty of water help any way??or as that 14mm stone that which is in the ureter increases the bulging of the kidney by drinking excess of water.can u please help me out with this myth,as I heard most of the people saying that drinking water will resolve this but will that work in my case. | Hi,Thanks for using healthcare magic.I have gone though your history. Drinking of plenty of water may somtimes but not always, dislodge the stone. If stone is removed, it will help in reducing hydronephrosis.But it does not help in every case. You shoukd consult urologist/urosurgeon for detailed evaluation and treatment. I hope it will help you.Thanks. | |
Had ICSI transfer. Is there any food I should be eating or avoiding to maximize my chances?
My husband and I has just had our fourth icsi transfer on Sunday. Please could you help me. I want to know is there any food i should be eating or avoiding to maximize my chance?. Also what about my life style. Should I slow down. I do quite a lot of walking is that good or not? What about intercourse should that be avoided? Thank you Emily | hello welcome to HCM after embryo transfer the patient usually is suggested to slow down and take life gently. Food has no particular impact on the outcome of this treatment. however its suggested that intercourse is usually avoided till we get the results of the pregnancy test 2 weeks after embryo transfer. hope to have answered your query dr nandita thakkar | |
Suggest treatment for bad breath while having white patches along gum lines
I have small white patches all along my gum lines and my gums bleed if I just push on them, and I am experiencing bad breath. I floss and brush and use mouthwash...this has been going on for about a year and is progressivly getting worse. I am a single mother of four and cannot afford to go to the dentist. Is there something I can do over the counter? Thank you!! | Thanks for your query, I have gone through your query.The white patch could be because of lichen planus, candidiasis, or leukoplakia. Consult a oral physician and get it evaluated. The possible cause of halitosis or bad breath could be because of the deposits over the teeth causing gum infection. Or it can be because of the pus discharge secondary to gum or tooth infection or any respiratory tract infection.Consult a oral physician and get yourself examined to rule out these conditions.If it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash.if it is tooth infection get the tooth restored.If it is respiratory tract infection consult a pulmonologost.I hope my answer will help you, take care. | |
Cough and asthma upon inhaling a pesticide spray. History of asthma in childhood.
I'm 65yo female... I used to have asthma as a child (until about 11yo). Lately, I've been taking cruises (in my retirement) and when there is a Norovirus epidemic, the ship sprays all over with stuff that I immediately start to cough and asthma sometimes has progressed to not being able to breath. May 5th I'm on my way to a one month long cruise, and I'm terrified that this may happen again (the most that I've been in a cruise ship has been half of that....14 days. | Hi, thanks for using healthcare magic It is understandable to be afraid. You can reduce your chances of an asthmatic attack by carrying your preventer medication with you. You should consider starting it before you leave and continuing it during the course of your trip. The preventer ,if used appropriately would reduce the chances of an acute attack. You should consider speaking to your doctor, he or she may suggest increasing the dose of the preventer while you are away. Additionally you should always walk with your reliever inhalor, remember it is sometimes difficult in an acute event to take the reliever properly so you may want to have an aerochamber with you so you do not have to do the special breathing that is required when using the inhalor on its own. Consider taking a course of prednisolone with you in case you need it. I hope this helps | |
Q. My sore throat and discomfort while swallowing has not subsided on antibiotics. Why?
Hello doctor, I have a sore throat since this Wednesday. My dad is a doctor and he gave me Augmentin every 12 hours. The pain has not gone yet, but I feel like an object anytime I swallow. It hurts and it feels dry and sore. Just on the left side, it is been a few days but nothing new yet. It hurts everytime I swallow and it feels full and pressured. There is some yellow mucus close to the crypts but cannot understand if it is a stone or infection. I tried to remove possible stones but ended up making my tonsil bleed every time I try to clean possible stones and gargled with salt and water. I am really afraid it is something bad. I am 24 years old. | Hello. Your tonsil looks infected (attachment removed to protect patient identity). I can see pus coming out of your tonsil. You complete the course of Augmentin (take it for seven days, 1 gm 12 hourly). Along with that take plenty of fluids (at room temperature i.e. not very cold and not very hot), do mouth gargles (combination of Chlorhexidine and Benzydamine) three times daily for five days which will soothe your throat as well as remove debris from the crypts. Take proton pump inhibitor (Pantoprazole 40 mg twice daily on empty stomach for a week) and also Paracetamol 650 mg thrice daily for three days. Do take all the medicines, just Augmentin is not enough. Do not touch your tonsils and do not try to remove the debris with fingers. Also, if possible send more pictures of your throat. I want to see your right tonsil and posterior pharyngeal wall clearly. | |
What causes lethargy and depressing after lowering Lustral dose?
I have been taking 250mg Lustral daily for the past 4 years. Now that my doctors have become aware that I was diagnosed with Arrhythmia 20+ years ago (lustral is contraindicated for people who have arrhythmia, and mine is fairly bad), I have to stop taking it. Just over a week ago, the dose was reduced from 250mg to 200mg, and I feel really dreadful. I have permanent nausea, lethargy, crying spells irritability and major sleep problems among other things & feel like I am really struggling at the moment. Is this normal or should I check back with my doctor? | Hi, It is suggestive of antidepressant discontinuation symptoms. Based on the history you seem to be suffering from undesirable effects while tapering the dose of anti-depressant lustral. I advise you to consult your doctor for further evaluation and treatment of withdrawal symptoms.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician | |
Why is coronary angiography done when TMT is positive?
Hello Doctor, my TMT test idicate positive ,my doctor suggested that i 've to undergo coronary angiography.My question to u is thus it mean i have blocked artery? can't my treatment can be done with oral medication.Thaking uRegardsSaurav LahkarGuwahati, Assam, India. | Hi,Thank you for your query. I can understand your concerns.Positive TMT means you have inducible ischemia. You need coronary angiography (CAG) to detect any block or narrowing of coronary artery/areries.CAG is golden test. If the narrowing is less than 70 % or have multi-vessel disease or significant co-morbidities,only medication is advised. Otherwise high degree block or single vessel disease either angioplasty or by-pass surgery is advised. Each case is however different and decision is taken individually.Regards Dr. T.K. Biswas M.D.Mumbai | |
Q. Can excessive masturbation cause tickling sensation in penis?
Hello doctor, For the past few months I have had a terrible tickling sensation in my penis caused by what I believe to be excessive masturbation, and I have been trying to cut back but with difficulty. I have spoken with a urologist and a neurologist elsewhere but they said it should go away on its own and that masturbation should not cause such a thing, but this answer does not satisfy me as it has yet to cease and has been tormenting me non-stop. I do believe vigorous masturbation to be the culprit hence I try to cut back but with the sensation still continuing. The feeling gets really bad especially when I sit down on a seat or lay on my side in bed. And car rides are the worst. I have studies that I attend to, I stay in those to help get my mind off of the tickling but with no success as the tickling bothers me that much. I have difficulty doing anything, and I am afraid to get a job having this feeling all the time. Exercise and drinking lots of water do not help at all. I tried Azos with no relief so I moved on from that. I had a random urine sample taken at the doctors office and it came out fine but I am not sure what they looked for when they tested it. I had my privates visibly examined and the doctor said everything was fine. Also, I had my hormone, testosterone levels checked and the doctor said they were fine as well. I have not taken any medicines or prescriptions for this condition, and currently I am not taking anything. I am so very tired of this feeling as it has been interfering with the things I love the most. Worst part of all this is that since I feel ticklish down there my mind gets filled with all kinds of sexual thoughts stimulating me to masturbate even more making the feeling even worse and more intense than before, there are times I cannot even sleep at night because the tickling or aroused feeling is so bad. Please tell me if there is something I can take for this and how to get it. | Hello. I would like to know a few details: 1. Since when this started to happen? 2. Is it persistent or intermittent? 3. Where exactly this tickling sensation happen in your penis? At its tip/ undersurface/ upper side/ at the base of penis? 4. Do you mean tickling feel is different from aroused (erection) or same? 5. What kind of thoughts come in your mind during that feeling? 6. Have you any burning / pain while urinating? 7. What happens to that tickling sensation, immediately after you finish off masturbation and ejaculation? 8. How frequently you masturbate these days? 9. Have you recently done unprotected sex with any girl or guy (prior to start of this tickling)? Please revert with above mentioned details and also send your till now prescriptions and test reports for better understanding and further judgement. | |
Suggest treatment for severe pain in the upper arm region
I have pain in the upper right arm for the last 6 hours. When I take two 81 mg it goes away shortly but comes back. I did have to lift a few things after the pain started but not over 5 lbs. Going to ice it when I get home. Any other suggestions... YYYY@YYYY | There are multiple resion for your pain in right upper arm as bellow.1. If its first time and there is no numbness or radiating pain from neck to arm and hand then it can be only muscular pain at arm level.2. If its paining from neck to arm and hand as well this kind of pain use to be there on and off with you then it can be related to your cervical spine. 3. If the pain starts from shoulder joint and this is the first time you experience it after lifting weight or having any jerk to shoulder then it can be related to shoulder joint soft tissue pain also which is coming to upper arm.Now what ever the case is initial treatment is use hot and cold pack at home and look for the relief. If it is not getting all right then you need to visit a ortho and physio for proper examination and evaluation. Here with physical test and x ray they will evaluate it and may ask for MRI if needed.Based on report you have to take treatment with medication and physiotherapy which will help you for pain relief. As well do take exercise suggestion from physio for preventing this kind of pain in future.Take care. | |
What can cause severe pain in legs after high fever?
5 year old boy had temp of 105 for 4 days. woke up this morning and is unable to apply any pressure to his legs. When he tries to standup his legs buckle and he screams out in pain. He has been to the doctors recently and they have said he just has a viral infection. What could be causing his legs to hurt so much? | Thank you for asking querry.Yes your doctor is right.Viruses can affect muscles of the legs which causes inflamation and pain.No need to worry it will subside on its own,but get one CPKMB done if possible and do keep the follow up.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute | |
Does this MRI result indicate need of surgery?
i got complete ACL 15 days back When jumping my right knee is mislanded. my age is 34 .Usually i don t play sports ( just will do threadmill, cycling ) Here is MRI findings: Large joint effusion is present with a tiny popliteal cyst medial and latel menisci intact complete tear of the proximal ACL. PCL is intact medial and lateral collateral ligaments appear intact extension mechanisam is unremarkbale articular cartilage appears to be within normal limits bone marrow edema along the lateral femoral condyle and posterior aspects of the medial and lateral tibial plateaus. minor linear signal intensity along the posterior aspect of the lateral tibial plateau may represent a minor impaction injury. bone marrow edema is also noted along the head of the fibula Impression: complete tear of the proximal ACL with associated bone brusies consistent with medial and ;lateral rotatory instability. mild osteochondral impaction injury along the posterior aspect of the lateral tibial plateau Do i need surgery ? or can i continue only physical therapy | Hello, Thanks for writing to us, I have studied your case with diligence.ACL tear requires surgery in young age. I will recommend you to go for arthroscopic ACL reconstruction graft for ACL can be used from leg, use of endobutton will give good results.At young age if you don’t operate for ACL then progression of knee arthritis will be rapid as your knee is not mechanically stable.You need to do proper physiotherapy protocol before and after surgery to strengthen your quadriceps and hamstring muscles.Knee support like knee cap or hinged knee brace will be helpful,Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care | |
Q. Can anal sex lead to peritonitis in homosexuals?
Hello doctor, I am a homosexual and this is my second time of having anal sex. It has been three weeks my partner had ejaculated inside of me, and then only I heard about peritonitis. I was wondering whether I was exposed to it or will it harm me? I heard that it may lead to death and if so, how long do I live? Additional information will greatly be appreciated. | Hello, Welcome to icliniq.com. Well, precautions first - While there is absolutely nothing wrong medically in your sexual orientation, irrespective of the legal status in your state, it is definitely not advisable to have unprotected intercourse with anyone. Even the use of condoms only ensures 95% protection. So in the future, always use a barrier like a condom before intercourse to ensure your own safety and your partner's safety. Not only you could get infected with a venereal disease like syphilis, genital warts, etc., you may get infected with the deadly disease called AIDS (acquired immunodeficiency syndrome). Though there are effective treatments for most of the STDs (sexually transmitted disease), why risk it in the first place. Now coming to your question. Peritonitis is the inflammation of the membranous lining which covers our abdomen and the pelvic area called peritoneum. It gets infected only if there is direct contact of some infected fluid with it and for that, it should have been perforated i.e. ruptured. It often happens when the intestines get ruptured due to typhoid fever, or due to a ruptured peptic ulcer of the stomach or intestine or as a result of trauma. In men, there has never been a case (to the best of my knowledge), where a sexual act has resulted in peritonitis. It cannot happen unless the sexual force has been so vigorous that it resulted in the rupture of the rectal or anal mucosa. Even if it happens rarely because of this, peritonitis has very prominent symptoms like severe pain in the abdomen and you would have needed to be hospitalized. So do not worry. If you are fine and eating well with no pain in the abdomen, your previous coital acts have not given you peritonitis. And you may expect a normal life. Of course, you are risking your life by being at a risk of acquiring deadly STDs like HIV-AIDS, which are killers. So do not worry about peritonitis, but worry about STDs and follow precautions. | |
Is metallic taste in mouth a normal reaction to pine nuts?
I have had a terrible reaction to pine nuts - firstly a very metallic taste in mouth and everything tasting bad - soapy and metallic - this lasted about a week with v bad symptoms but Now - 3 weeks on I still have a metallic taste in mouth and feel very unwell - lethargic, tired - could this still be the pine nuts? | Hi,This is a not so common , yet one of the possible sequelae of ingestion of pine nuts ( sply a chinese variety), that has surfaced nowadays known as pine mouth/ syndrome. It causes this metallic aftertaste. But rest assured this is self limiting and would go away soon. Try taking a lot of juice/ fluids. If the symptom doesnt subside by 1 week, kindly get it re-evaluated by a physician.Regards. | |
Suggest treatment for lower back pain
I suffer from constant lower back pain. The pain comes on if I stand around for any time but less so if I'm walking. Lifting heavy objects also heightens the pain. If I've been drinking alcohol the night before then the pain in my back is especially severe. | HiThank you for asking HCM. I have gone through your query. Your problem can be related to lumbosacral spine like intervertebral disc herniation. A physical examination with an orthopedician should be carried out to get clue for this. In case of any positive signs a X ray followed by MRI of lumbo sacral spine will confirm it. If it is that then muscle relaxants like thiocolchicoside , NSAIDs like nimusulide and neurotropic drugs will help. Physiotherapy, muscle strengthening exercises and lumbar supporting belts will be helpful also. In case there no signs of such injury then it can be muscle strain . Short course NSAIDs and muscle relaxants will be helpful also.Hope this may help you. Let me know if anything not clear. Thanks. | |
What is the treatment for a lump in the thigh?
I have a hard lump on my upper thigh 2 cm large and also i have small lumps on my torso but not hard as the lump on my thigh what can it be what cause them they also are not growing staying same size and i got them 3-4 years ago i don't remember exactly | Hi.Thanks for your query.Read and understood your history of a lump which is not changed over the 4 years and is on the upper thigh of about 2 cm and another on the torso.Such lumps are most probably due to lipomas.I would advise you the following in such a condition :Get a clinical evaluation by a General Surgeon as he can examine and tell clinically whether this is a lipoma, sebaceous cyst or something else. He can also ask you to get operated.This helps in two ways:You get rid of the disease, which is not a normal part of the body and You get a confirmed diagnosis by histo-pathology examination. | |
What does this semen analysis report indicate?
HI I AM 26 YEAR OLD HEIGHT IS 5 FEET 2 INCH 80 KG MY SEMEN REPORT IS BELOWTOTAL QUANTATY 2mlCOLOR OFF WHITEVISCOSITY THINPH 8.0RED CELL NILLPUSS CELL 6-8ACTIVE SPERMATOZA 30%SLUGGISH 20%NONMOTILE 50%TOTAL SPERUM COUNT 30/MILLION/ML (NORMAL 60-150) | Hello, Your active motile sperm is 30% which should be at least 32%. So it is a borderline value. All other finding including count, viscosity, pH are normal. However, sperm morphology is not mentioned here which is also important to know. So kindly mention sperm morphology report as well. You can take a zinc tablet to increase sperm motility. Forte is one of such tablet which contains zinc as well l arginine. Don't take a hot shower. Don't do smoking and drinking to increase active motile sperm. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician | |
What causes continuous vomiting in a child?
my daughter is 18months old and she often vomits after eating the food,its immediatly happens?is she suffering with acid rflux?its happeing since she turned her 7th month,she does not chew her food even she got 5front lower and 4upeers and two molar teeths | Hello. I just read through your question. It is very possible that your daughter has reflux. this can sometimes come with pain, and sometimes without. The two most important aspects of this are her comfort level and her weight gain. If she is comfortable and gaining appropriate weight, this is a less severe problem. However, if she is experiencing discomfort and/or not gaining weight appropriately, it is a more pressing problem. In any case, I recommend consulting with your doctor so the correct diagnosis can be made and a treatment plan implemented. | |
Q. Please suggest a treatment for frequent urination.
Hello doctor, I am suffering from frequent urination. I have this problem for six months no burning sensation and no painful urination only frequent urination no BP and sugar, please give me a solution to my problem with the prescription. | Hello. I read your query. See frequent urination can have a number of causes like UTI, hyperactive bladder, stress, anxiety, excessive intake of liquids or excessive caffeine intake or some underlying cause. If you went through clinical examination and you do not have any issues. Then the most probable cause can be stress or anxiety or hyperactive bladder. So for stress or anxiety, you need to follow measures to calm down your mind. In the case of hyperactive bladder, do exercises to strengthen your pelvic floor. These will help you. In case you still feel trouble then you should visit a nearby urologist within two weeks. I hope you understand my point. | |
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> | |
Suffering from jaundice, dark yellow urine, indigestion, stomach upset. Treatment?
hii i am 24years old and have been diagonised with jaundice 5days ago..my urine color was orange in the begining but now it has tuned dark yellow. my eyes also look yellowish.i had indigestion and related problems in stomach 2weeks before this was diagonised..my question is how long does it take me to recover from this? what are the precautions to be taken? how can i know that am completely free from jaundice? | Hi, Welcome to Healthcare Magic! There are umpteen number of causes of jaundice. The first step is to have a complete liver function test done. Based on LFT report further tests may have to be done to see whether the jaundice is due to hepatitis or obstruction to bile flow. Only after knowing the cause one can tell when you will recover from jaundice. Viral infection is the most common cause and complete recovery can be expected in 4-8 weeks. If it is due to obstruction ( for eg by a stone), removal of the stone will provide rapid relief. So the first step is to find the cause of jaundice. | |
Suggest treatment for knee pain caused after an injury
I fell down and hit both of my knees 4 days ago. my right knee is constantly feel pain. I was hoping the pain will disappear but it keep feeling hurt after I sit down or sleep. Should I keep exercise or get support when I walk? or should I see a doctor? Thanks for advice. | Hello, The symptoms seem to be related knee pain due to the injury. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also recommend using cold compresses for local application. I suggest to avoid physical activities which trigger the symptoms. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi General &Family Physician | |
What does hypertrophy of knees indicate?
I was told today that the result of recent xrays on my knees turned up a diagnosis of hypertrophy of the knees. I have osteo arthritis (since 2004) & am wondering what this is & how serious it is. I have been in pain all during the month of October 2011, but my symptoms have subsided this month. I was recently prescribed tramadol for the pain which I have been taking sparingly because I know it is habit forming. | Hello,Hypertrophy of knee bones are one of the associated symptoms in case of osteoarthritis. You should do following to have relief in case of arthritis:- Avoid frequent up or down on stairs.- Avoid cross leg positions.- Start doing some exercises like quadriceps strengthening exercises.- Take a mild analgesic off and on like advil for relief from pain.- Apply a local analgesic ointment and do warm water fomentation with water bag over the knee.- Take some supplements like glucosamine, chondroitin or collagen for long time. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon | |
What is battery implantation?
Hi thereI need some information regarding a "battery implantation for heart"currently, my auntie has a problem with her heartaccording to doctor in my area, she needs a battery implantation in order to making her heart back functioing normallythe doctor mention that her heart working only 21 percent (I dont have any idea what its mean by this)my auntie seems healthy, but when i heard her heart is working only 21 percent, I start to worry about itcan someone please tell me what is battery implantation?pleasee | HiWhen the ejection fraction, or the pumping effect of the heart reduces,there are chances that the person lands up in sudden arrhythmias,or blocks even with minimal exertion,due to poor effort tolerance.That's when intracardiac defibrillator with pacemakers are implanted,whatever said is battery which was explained to you.This device is better and safe,as it automatically senses the danger rythm and reverts it.So,please go ahead with the procedure.All the best. | |
Planning for conception. History of ectopic pregnancy in the fallopian tube. Having abdominal pain. What all precautions to be taken?
Hi Dr, my name is mrs.mulla, i had an ectopic pregnancy in my left Fallopian tube last year 29th june 2011 and had got very bad pains and i was hospitalized for 2 days the day i was admitted my BETA HCG LEVELS were 1157.20 mIU/ml , i was suggested for immediate surgery but my gynac waited for next day morning for surgery and frequent blood test were going on and next day morning my B-HCG LEVELS were 457.68 mIU/ml, and there was no surgery conducted as i live in UAE that day itself i took discharge i flew back to india and on 5th july 2011 i got my periods normally there also they checked b-hcg had fallen totally down, now i am planning to conceive again i had been to my gynec she had ovary scan and told we can go further and come when i am pregnant but no medicians nothing is given on 1th July 2012 i had my periods and there after we are trying and had intercourse but now from past 3-4 days i am getting pain again on my left side abdominal, i have this pain from since my last ectopic pregnancy i told this thing to my gynec but she told its ok and you can conceive, but now from 3-4 days my pain has increased, i am feeling i am pregnant, please suggest me what should i do to get normal pregnancy. i am worried alot. | Hi Mrs. Mulla. Thank you for putting up your problem to Healcare Magic! The incidence of recurrent ectopic is more in those who had it earlier. And you need to be very cautious because a ruptured ectopic can be lethal. Please get your beta hCG levels and ultrasound abdomen as soon as possible to rule out any complications. You need to start the treatment after consulting your gynecologist. I hope this information would be both informative and helpful for you | |
What caused persistent fever for 8 days?
i have a son 6YRS OLd having fever since 8days we got his chest x-ray which is normal we got the complete fever panel in which his hb was 8.8 and esr is 114 today is the first day after 8 days he is not having fever and is umder ab what could be the diagnosis | Hi,I just read through your question. Though a virus typically comes with fever for 2-3 days, they can sometimes come with prolonged fever. The negative chest x ray is good, the elevated ESR is expected with any illness, even a mild one. Perhaps the ab helped. But in any case, the fever finally resolved which means the illness is resolving. Continue fluids for hydration and give a little more time to heal.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Eric Goldstein | |
What causes dry eyes with dizziness?
About once a week while at work I have a suddon onset of very dry eyes and then become very dizzy and feel like I could almost pass out. After 1-4 hours it seems to go away. I have had labs done and an MRI done and they said everything looks fine. This has been happening for over a month now. Any ideas on what might be going on. | Hello, I would explain that your symptoms could be related to Sjorgen disease or any other eye disorders. I recommend consulting with an ophthalmologist and discussing these possible disorders. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist | |
How to cure cyst of 14mm in the pineal gland?
MRI revealed a complex cyst 14 mm wide in the region of the pineal gland in my teen daughter. Waiting to see a neurologist. She s been dizzy and light-headed. She had loss of oxygen and blood transfusions at birth. Don t know if the cyst is related to birth trauma. Wanting to know what the potential diagnosis could be /problems she could be facing. Do cysts keep growing? | Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : How to cure cyst of 14mm in the pineal gland?Answer : The Cure depends on the Nature of the Cyst and the Contents of the Cyst If it is a only CSF, then a Minimally invasive aspiration under Stereotaxy or Neuronavigation Guidance may solve the problem If the cyst has some other content, we have to subject the contents to Cytology Analysis If the contents are Benign, and if the Cyst is producing Problems by Compressing Other Vital Structures, We may have to do Surgery If the contents are Benign, and If the cyst is not disturbing other tissues, we can wait and watch If the contents are malignant, surgery may be needed Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. | |
Suggest treatment for spondylosis in lower back and bulging disc
I have spodylosis in my lower back and also a bulging disc. I just noticed a bruise going across my back from left to right. Im 36 and my weight is 240 but not the obese size. Im 5ft3in. Female. Im on a 4medications to help with my pain. But nothing to correct my back. | hi,thank-you for providing the brief history of you.A thorough neuromuscular assessment is advised.As you have spondylosis and disc bulge in the lumbar spine, you need to under go physical therapy. As with the use of the therapeutic ultrasound therapy and TENS therapy your pain levels will be reduced. Post which with simple exercise you should respond well.As spondylosis is the ageing of the spine and disc bulge occurs due to wear and tear of the spine. It is a normal physiological process.in my clinical practice I have seen cases with disc bulge and they respond well to physical therapy.regardsJay Indravadan Patel | |
Suggest treatment to lower WBC count
Hi, my 2 y/o son has 14-16 wbc in urinalysis, after 7 days of antibiotics the count lowered to only 12-14. This is the 2nd time he was diagnosed with uti. During the first time, the wbc count lowered to normal but now it has barely gone down. What should be the next step? Thanks. | Hi,Thanks for asking.Based on your query, my opinion is as follows:.1. It appears to be resistant urinary tract infection.2. Need to get culture and sensitivity of the urine sample to identify appropriate antibiotics.3. Also need to give him plenty of water. After completion of course of antibiotics, repeat urine test for confirmation.4. Pus cells should reduce. Not to worry.Hope it helps.Any further queries, happy to help again. | |
Q. Have doing Ph. D, unable to concentrate on my thesis and am fatigued. What should i do?
Hello doctor, I am a Ph.D. student. I am struggling to write my thesis. I am trying hard to get it done and have progressed only little since many months. I am all time anxiety driven and I feel fatigue. Every day, I start with a hope to make progress but cannot take a single step. I lie on the bed, feel like to sleep or just waste time on social media or anything but do not do my thesis writing. I am tired of myself now. No one can understand this. My mind is full of negative thoughts whole day and I feel guilty. I have already spoilt my relations with my supervisors as I have not been able to adhere to the deadlines. In short, I have anxiety, fatigue, feeling lethargic, and lack of concentration. What should I do? | Hello. From the available description, it appears that there is a primary anxiety disorder associated with amotivation. Other symptoms such as fatigue, loss of interest in activities which require consistent attention and concentration, lethargy, excusing yourself, spending time on activities with least importance are symptoms of anxiety as well as maladaptive behavior arising from anxiety. First of all, I like to assure you that it is a treatable problem and there is need to see a psychiatrist in your city without delay. In addition, you need to develop more healthy choices like regular exercise, healthy eating, avoidance of junk foods, plenty of fluid intakes, use of steam inhalation, deep breathing exercises to control anxiety symptoms. Although it is not possible for me to prescribe medication but I feel Prozac (Fluoxetine) with Modafinil will solve most of your symptoms. Both the medications are prescription only. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For more information consult a psychologist counsellor online --> | |
Q. There is no yolk sac but decidual reaction is good in USS. Please advise.
Hi doctor, I am 9 weeks pregnant as per my last period date. But in USS, it is showing only six weeks and six days old sac. No yolk sac found, but the decidual reaction is good. My periods were irregular. As the yolk sac is not developed, my doctor advised for abortion. Is there any hope in my case? | Hello. If someone is having irregular periods then calculating the duration of pregnancy from the last date of the menstrual period is not correct. If ultrasound is showing six weeks then probably that is your right. Duration of pregnancy. I would suggest you repeat scan after a week and also go for two blood tests for pregnancy hormone 48 hours apart to see whether the pregnancy is viable or not. It will help you to determine what to do next. | |
Permanent cure for gum pocket development in lower jaw?
I have undergone flapsurgery twice. Even then gum pocket develops in the lower jaw - left side on wisdom tooth +8 What is the remedy. The wisdom tooth is intact and straight. At times Ihe lower jaw itches much and when approached to doctor they prescribe Flexon for pain relief and gum paints. I want to get permament remedy. | Hello and thank you for your question. Sometimes wisdom teeth can have periodontal defects. These defects are breeding grounds for bacteria and a place for debris to get stuck causing chronic inflammation and risk of attachment loss. Sometimes the wisdom teeth need to be extracted to prevent the progression of the disease from moving anteriorly in your mouth. Ways that you can help with the reduction of pockets: see your dentist/periodontist on a regular basis usually every three months. brush 3 times a day, floss 2 times a day and use listerine 1 time a day. Best wishes and good health Dr. Ward | |
Burning feeling, discomfort on torso. Ultrasound showed fatty liver. What causes fatty liver?
I recently went for an ultra sound to check my gall bladder liver etc.. because I sometimes had a burning feeling, but I have also have discomfort on my left side torso pressing on my back. the results for my ultra sound said my gall bladder was fine but my liver had fatty streaks and I am soon doing a cat scan and I was wondering what causes a fatty liver | Hello Thanks for writing to HCM Fatty liver is due to deposition of fat within the liver cells. There are many conditions associated with fatty liver like Obesity, Diabetes mellitus, Metabolic disorders etc. Fatty liver is reversible condition and it can be controlled by increasing physical activity, drugs etc. You should avoid saturated fat and fried food. You also do walking, exercise. Take Care Dr.Indu Bhushan | |
Taking steroids and mercaptopurine for AIH. Elevated ALT levels. What are the side effects? Have diabetes
We have a huge concern. My mum was diagnosed with AIH about 3 months ago - mum is taking steroids gradually reduced to 10MG per day, today at the Liver clinic we were told her ALT elevated from 57 to 157 and she is now to take 20MG steroids plus 50MG per day mercaptopurine in order to stabilise the liver and reduce the steroids, but our worry is mercaptopure Puri-nethol tablets bring on severe side effects as this drug is used for treating cancer - from one hand the steroids are just as bad and yet the mercaptopurine tablets are also bad! my mum is 80 years of age, is diabetic insulin dependent, and what do we do! we dont have a choice do we! | Mercaptopurine itself can cause liver enzyme elevation and diabetes to add on. If mercaptopurine is working for AIHA, just monitor the liver enzymes. I assume you have ruled out viral hepatitis post blood transfusion. As in case of ALL , we allow mercaptopurine even with slight but stable elevation of liver enzymes, you can continue it. Or else meet me at my clinic. | |
What causes black spot on tip of tongue?
I have this black spot on the tip of my tongue and it bothers me when people ask what happened, is there a way to make it go away? My doctor said it's moles and it's fine, but I honestly don't like it. I will be willing to do anything to get it normal . Thx. | Hi A black spot /mole at the tip of tongue ,which is not increasing in size ,neither changing its textureand is painless is rather harmless and you need not be worried . although i do second you and accept that it might be irritating and uncomfortable . out of various modalites ,surgical removal has been an age old remedy for such moles . latest modalities include laser which are painless and also have a better accepance amongst patients .hopefully this might be of some help to you .take care . | |
What is the treatment of skin rash ?
i had skin rash on my body, arms and legs and went and saw a dermotologist and was given prednisolone tablets for 5 days..2 during day and 2 at night. After 5 days, the rash went away. Just after 1 week of stopping, the rashes start coming back...what could be the problem | Hello, The symptoms seem to be related to an allergic reaction. I suggest using antihistamines such as Cetirizine. I also suggest using Calamine lotion for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician | |
Diagnosed with cervical and lumbar disc injury. Scheduled for bilateral lumbar fract injections. Have slight murmur and inflammation of the chest. Advice?
i was just diagnosed with cervical and lumbar disc injury. Im scheduled for Bilateral lumbar Fract injections next week. im concerned about my heart due to the fact that i have a slight murmur and inflammation of the chest wall(medical term starts with a c, dont know how to spell it sorry) My question is Should I be concerned? got to the page where theres a fee for the first question. will re-ask when i have money. off work right now | Hi, Thank you for posting your query. I feel there is no need to worry regarding your procedure- bilateral lumbar facet injections. Inflammation of the chest wall- do you mean costo chondritis. Again, it is a minor issue and there is no need to worry. You will feel much better after the procedure. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: My email: drsudhirkumar@yahoo.com | |
Having blotchy red rash on my trunk, increases with warm weather. Fungal and advised to use anti sebhorriac shampoo daily 30 mins before shower. Applied for one hour at night, had bad allergy rash
I have a blotchy red rash on my trunk that lasts all year but increases during the warm weather. I went to a dermatologist and was told it was fungal and to use anti sebhorriac shampoo daily 30 mins before shower. I don t have 30 mins. So I put it on for an hour one night n got a bad allergy rash. It seems fungal but I think I need an oral treatment because its so bad and all over. I am also a borderline diabetes. | LOOKS FUNGAL TAKE TAB FRCAN 150 MGM ONCE A WEEK FOR 6 WEEK APPLY CANDID OINTMENT MORNING AND EVENING KEEP AREA DRY U CAN USE CANDID POWDER ALSO PUT A SMAAL AMOUNT OF POTASSIUM PERMEGNATE CRYSTAL IN THE WATER YOU TAKE BATH APPLY FOR LONG TIME AS FUNGUS IN DIABETES TAKE LONG TIME TO GO | |
Inflamed gums, headaches, dizziness. Family history of HHT. What should be done?
My sister and uncleboth died of pulmonary hypertension. Now family members tell me the correct diagnosis was HHT. My sister was 40 when she died. Although no one seems to have symptoms should my family and my sisters also be tested? I have gingivitis and have my teeth cleaned every 3 months. These past few weeks i think my gums are inflammed. i have had some headaches, been dizzy and not feeling well in general. What should I do? | Hello,Thanks for writing to us.Since your gums are inflammed,you must get full mouth scaling done.Maintain oral hygiene well.Brush and floss your teeth as well as tongue daily.Use chlorhexidine mouthrinses to gargle.Regarding your physical concern,please do visit a GP ..Hope this helps. | |
Why am i getting blood along with saliva ?
Whenever I spits twice or thrice then blood start coming from my mouth which starts increasing and I am not able to find from where it is coming. Can anyone of you please help me out as it is giving me a very tense experience. | Hi, You should consult your dentist to identify the problem. Usually in patients with gingivitis bleeding occurs from the gums which should be treated by scaling of teeth. | |
Suggest treatment for pain in the toe joints
Hi i am having pain in the joint of my big toe, on the top where the toe meets the rest of the foot in that big joint. Its painful on top of the toe and it hurts to walk and i am walking to lose weight. What can i do to make this stop as I can start out walking and its fine but then something feels like it pops and then it hurts like heck and is hard to bend the toe to walk. Help | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, it may be due to gout or overuse during walking. iKindly do complete haemogram, CRP, ESR and uric acid after consultation with orthopedician. You may require x ray of affected joint after consultation.Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale | |
Suggest treatment for bleeding in the mouth while brushing
my daughter is 18 months old. brushing her teeth is a battle and she cryings and we have to hold her arms down so she doesnt push me away. i have noticed that while brushing her teeth, her gums bleed some. is this normal? i do not brush hard and the bristles on the brush are not too hard either. i just recently started brushing them regularly though because of it being such a battle. before i just let her chew on the brush without actually brushing them. could the bleeding be just from the gums not used to being brushed? please help! thanks | Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain bleeding from gums at the age of 18 months can be due to Teething process that can cause inflammation of gums and any inflamed tissue tend to bleed even on slightest stimulation...Secondly it can be due to infection in gums due to improper maintenance of oral hygiene..I would suggest you to consult a Pedodontist and get her evaluated and a clinical examination has to be done..In case if it is due to teething it will gradually improve when the eruption of teeth will complete..As of now doing cool compresses on gums, feeding with plenty of cool fluids and soft and bland diet will help..In case of gum infection scaling has to be done..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. | |
Suggest cure for insect bite
THREE DAYS AGO, I WAS STUNG/BIT BY A RATHER LARGE BLACK ANT....THE BITE IS A LIGHT RED COLOR AND RAISED AND ABOUT 8ML ROUND..I USED CLAMINE..BENEDRYL CREAN AND YESTERDAY STARTED DOMEBORO SOAKS...STILL THERE AND RAISED AS IF IT HAS SOMETHING INSIDE..SHOULD I SEE A DOC? YYYY@YYYY joanie | Hi,It seems that you might be having localized allergic reaction to insect bite.Go for oral antihistamine like Cetrizine or Benadryl medicine for 2-3 days.Apply calamine lotion or triple action cream locally.Ok and take care. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.